CLARK FAMILY CARE
NPI 1043650591
Clinic/Center - Rural Health in Winchester, KY

Active since June 28, 2013
174 PEDRO WAY, WINCHESTER, KY 40391(859) 355-5653 Get Directions Write a Review

NPPES record last updated: September 2, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Clark Family Care NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CLARK FAMILY CARE (NPI 1043650591) is a healthcare organization registered as a rural health in Winchester, Kentucky and active in the NPI registry since June 2013. The organization lists Brittany Underwood, Credentialing Agent, as its authorized official.

NPPES Registry Identity

NPI1043650591
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameCLARK MEDICAL VENTURES, LLC
Location Address174 PEDRO WAYWinchester, KY 40391-8354
Mailing Address1031 Wellington Way Ste 240Lexington, KY 40513-1257 · (859) 303-8746
Organization SubpartNo
Authorized OfficialBrittany UnderwoodCredentialing Agent · (859) 303-8746
Enumeration DateJune 28, 2013
Last NPPES UpdateSeptember 2, 2021
NPPES CertifiedSeptember 2, 2021
NPI 1043650591 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 12

Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
License Licensed in KY · 900176
Also ListedPsychologist · ClinicalTaxonomy 103TC0700X
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X
Also ListedEmergency MedicineTaxonomy 207P00000X
Also ListedFamily MedicineTaxonomy 207Q00000X
Also ListedInternal MedicineTaxonomy 207R00000X
Also ListedNurse PractitionerTaxonomy 363L00000X
Also ListedNurse Practitioner · Acute CareTaxonomy 363LA2100X
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
Also ListedNurse Practitioner · PediatricsTaxonomy 363LP0200X
Also ListedNurse Practitioner · Women's HealthTaxonomy 363LW0102X
174 PEDRO WAY, Winchester, KY 40391

Other Names 1

Doing Business AsClark Family Care

Other Identifiers 1

Medicaid7100303720KY

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
174 PEDRO WAY
WINCHESTER, KY 40391
Clinic/Center (Sleep Disorder Diagnostic)
174 PEDRO WAY
WINCHESTER, KY 40391

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Clark Medical Ventures, LLC's NPI number?

The NPI number for Clark Medical Ventures, LLC is 1043650591. It was assigned to this organization in the NPPES registry on June 28, 2013. The provider is doing business as Clark Family Care.

Where is Clark Medical Ventures, LLC located?

Clark Medical Ventures, LLC is located at 174 Pedro Way, Winchester, KY 40391. The listed phone number is (859) 355-5653.

What is Clark Medical Ventures, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

When was this NPI record last updated?

The NPPES record for Clark Medical Ventures, LLC was last updated on September 2, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.